Overall, participants seemed to have adequate knowledge regarding appropriate weight management and exercise during pregnancy, but lacked knowledge of recommended dietary practices during pregnancy. Approximately half of participants remained within ACOG guidelines for weight management and consumed enough fruits and vegetables. Fewer than half knew the recommended amount of folic acid for pregnant women, or exercised with appropriate intensity, during, or frequency during pregnancy. Approximately a quarter of participants avoided cold lunch meat, albacore tuna, and soft cheeses. Of particular concern was the lack of
knowledge regarding folic acid (consumption and supplementation) and avoidance of foods related to listeriosis (e.g. soft cheeses and cold lunch meat). Too little folic acid before and during pregnancy has been linked to birth defect such as spina bifida, and consumption of soft cheeses and cold lunch meat during pregnancy is associated with infection of the fetus.